H.R. 2309 (119th)Bill Overview

Medicare and Medicaid Fraud Prevention Act

Health|Health
Cosponsors
Support
Bipartisan
Introduced
Mar 24, 2025
Discussions
Bill Text
Current stageCommittee

Referred to the House Committee on Energy and Commerce.

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief
Plain-English summaryWhat this bill actually does

This bill amends the Social Security Act to require States, beginning January 1, 2027, to check the Death Master File when enrolling or revalidating Medicaid providers and to run that check at least quarterly while a provider remains enrolled. The requirement is added as an additional provider screening condition under Medicaid provider enrollment rules.

Why people may split

Support common for fraud prevention; liberals emphasize program integrity.

Watch point

Relative to its intended legislative type, this bill specifies a discrete administrative obligation (quarterly Death Master File checks for enrolled Medicaid providers) with clear timing and an identified responsible party, but it lacks implementation detail on follow-up actions, funding, data-matching procedures, edge-case handling, and accountability mechanisms.

This bill amends the Social Security Act to require States, beginning January 1, 2027, to check the Death Master File when enrolling or revalidating Medicaid providers and to run that check at least quarterly while a provider remains enrolled.

The requirement is added as an additional provider screening condition under Medicaid provider enrollment rules.

Passage60/100

Content is narrow, non-ideological, and administratively plausible—favorable for passage—but practical implementation costs and legislative priorities temper odds.

CredibilityPartially aligned

Relative to its intended legislative type, this bill specifies a discrete administrative obligation (quarterly Death Master File checks for enrolled Medicaid providers) with clear timing and an identified responsible party, but it lacks implementation detail on follow-up actions, funding, data-matching procedures, edge-case handling, and accountability mechanisms.

Contention25/100

Support common for fraud prevention; liberals emphasize program integrity.

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Likely helpedStates · Federal agencies

These are examples from the analysis, not a ranked list of the most-affected groups.

Likely helped
  • Potential benefitReduces improper payments by identifying deceased providers who may still be billing Medicaid.
  • Potential benefitDeters fraud and abuse through recurring verification of provider existence and status.
  • Potential benefitImproves enrollment and claims data integrity by keeping provider rosters current.
Likely burdened
  • StatesIncreases administrative and IT costs for states to implement and maintain quarterly checks.
  • Federal agenciesCould function as an unfunded federal mandate if no implementation funding is provided.
  • Potential burdenRisk of false matches or data errors could wrongly deactivate legitimate providers temporarily.
03 · Why people split

Why the argument around this bill splits.

Support common for fraud prevention; liberals emphasize program integrity.
Progressive90%

Likely supportive because it strengthens program integrity and reduces payments to deceased providers.

May want safeguards to prevent wrongful provider removals and ensure equitable implementation funding.

Leans supportive
Centrist80%

Generally favorable as a targeted anti-fraud measure, but wants clarity on costs, operational details, and safeguards.

Would favor modest implementation funding and standards to reduce errors.

Leans supportive
Conservative60%

Mixed: supports fraud prevention and stopping payments to deceased providers, but wary of new federal mandates on states and unfunded costs.

Concerned about data access and federal overreach.

Split reaction
04 · Can it pass?

The path through Congress.

Introduced

Reached or meaningfully advanced

Committee

Reached or meaningfully advanced

Floor

Still ahead

President

Still ahead

Law

Still ahead

Passage likelihood60/100

Content is narrow, non-ideological, and administratively plausible—favorable for passage—but practical implementation costs and legislative priorities temper odds.

Scope and complexity
24%
Scopenarrow
24%
Complexitylow
Why this could stall
  • State administrative cost and burden estimates absent
  • Access rules, fees, or licensing for the Death Master File
05 · Recent votes

Recent votes on the bill.

No vote history yet

The bill has not accumulated any surfaced votes yet.

06 · Go deeper

Go deeper than the headline read.

Included on this page

Support common for fraud prevention; liberals emphasize program integrity.

Content is narrow, non-ideological, and administratively plausible—favorable for passage—but practical implementation costs and legislative…

Unlocked analysis

Relative to its intended legislative type, this bill specifies a discrete administrative obligation (quarterly Death Master File checks for enrolled Medicaid providers) with clear timing and an identified responsible pa…

Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.

Perspective breakdownsPassage barriersLegislative design reviewStakeholder impact map
Open full analysis